Laparoscopy and Laparoscopic Ultrasound in the Staging of Pancreatic and Periampullary Cancer

1999 ◽  
pp. 359-368
Author(s):  
I. J. Martin ◽  
T. G. John ◽  
O. J. Garden
HPB ◽  
2015 ◽  
Vol 17 (7) ◽  
pp. 573-579 ◽  
Author(s):  
Joris I. Erdmann ◽  
Marjolein J.M. Morak ◽  
Hugo J. Duivenvoorden ◽  
Herman van Dekken ◽  
Geert Kazemier ◽  
...  

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Shereen A Saleh ◽  
Muhammad A Abo Elezz ◽  
Hagar A Elessawy ◽  
Ahmed Farahat Muhammad Ali

Abstract Background Patient presented with jaundice, initial evaluation should be ultrasonography for evaluation of liver parenchymal changes, cirrhosis and assessment of hepatic vascularity and evaluation of intrahepatic, extrahepatic biliary system. Aim of the Work to compare between the Conventional US and Endoscopic Ultrasound in diagnosis of obstructive jaundice and other diagnostic modality including CT/MRI, ERCP for diagnosis and evaluation of the cause of OJ. Patients and Methods This study was conducted on 60 patients with obstructed jaundice as evident by ultrasonography in the form of dilated CBD with IHBRDs, with visualization of Gall bladder content and pancreas if can be well visualized, all patients had clinically apparent jaundice with disturbance of liver biochemical profile, all patient underwent EUS and compare finding with US including CBD diameter and IHBRDs degree. Results EUS provide better visualization of CBD and IHBRDs with diagnosis of pathological lesion including stones, malignancy. EUS also has better visualization of pancreatic pathology including inflammation and malignancy and extent of the tumor including local extent, lymphatic spread with vascular invasion. Conclusion EUS is better than US and other modality CT&MRI and ERCP in diagnosis of distal CBD stricture including malignant obstruction especially in cases of early malignancy and small tumors, and calculary distal obstruction. CT is insensitive in diagnosis of periampullary cancer, EUS provide early diagnosis of Pancreaticobiliary malignancy and give better advandage for early resectability .


2018 ◽  
Vol 119 (3) ◽  
pp. 303-317 ◽  
Author(s):  
Caitlin A. Hester ◽  
Epameinondas Dogeas ◽  
Mathew M. Augustine ◽  
John C. Mansour ◽  
Patricio M. Polanco ◽  
...  

PLoS ONE ◽  
2018 ◽  
Vol 13 (11) ◽  
pp. e0205960 ◽  
Author(s):  
H. J. M. Handgraaf ◽  
B. G. Sibinga Mulder ◽  
S. Shahbazi Feshtali ◽  
L. S. F. Boogerd ◽  
M. J. M. van der Valk ◽  
...  

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Gregory Sergeant ◽  
Erik Schadde ◽  
Geert Maleux ◽  
Raymond Aerts

A 64-year-old female patient with adenocarcinoma of the head of the pancreas with encasement of the common hepatic artery and portal vein stenosis was reexplored after six cycles of gemcitabine (1000 mg/m2). Prior to surgery, the patient underwent balloon dilation and stenting of the portal vein in addition to successful coil embolisation of the common hepatic artery, proper hepatic artery, and proximal gastroduodenal artery. After embolisation, a pylorus-preserving pancreaticoduodenectomy was performed with resection of the common hepatic artery and portal vein confluens. Pathological examination showed a moderately differentiated pT3N0 (Stage IIa, TNM 7th edition) tumor with negative section margins. We show with this case that in selected cases of periampullary cancer with encasement of the common hepatic artery, it is technically feasible to perform pancreaticoduodenectomy with hepatic artery resection and negative surgical margins. Nevertheless, the oncological benefit of extended arterial resections remains controversial.


Pancreatology ◽  
2016 ◽  
Vol 16 (3) ◽  
pp. S51
Author(s):  
Bengt Van Rijssen ◽  
Nadine Van Huijgevoort ◽  
Robert-Jan Coelen ◽  
Shanna Tol ◽  
Elisabeth Haverkort ◽  
...  

2004 ◽  
Vol 1268 ◽  
pp. 793-796 ◽  
Author(s):  
M Kleemann ◽  
P Hildebrand ◽  
R Keller ◽  
H.P Bruch ◽  
M Birth

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